WOMENS-HEALTH Messages for September, 1998: Re: Adenocarcinoma in situ

Re: Adenocarcinoma in situ

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Thu, 24 Sep 1998 22:05:24 -0500 (CDT)

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In reply to: M: "Adenocarcinoma in situ"

At Thu, 24 Sep 1998, M wrote: >
>Dear Doctors:
>I have been diagnosed with possible adenocarcinoma in situ from a pap
>smear. my question is, what is the danger of putting this cone biopsy
>off for three weeks and how quickly can adenocarcinoma in situ become
>invasive cancer?

Of course, you will have to ask the gyn/onc this question, because he or she has had the benefit of examining you. However, I cannot think of any situation where putting off a cone biopsy for 3 weeks would matter at all. Nobody knows exactly how long it takes cervical cancer to develop. Each patient is different, depending on her immune system, extent of the lesion, etc.

>How often do they find nothing at all in the cone after a pap read
>"possible adenocarcinoma in situ"? what is done next in that situation?

Reasonably often. Remember, it's better to cry wolf than miss a cancer. If the cone biopsy is normal, then most of us would follow you with a colposcopy and endocervical curettage in 3-6 months, with every 6 month Pap smears for a while. It will vary, however, depending on the findings your doctor saw when you were examined.

The atonic bladder should have no bearing on the abnormal cervical cells.

Good luck with the cone biopsy. We'll keep our fingers crossed that it comes back normal.

-- Ashley Hill David Ashley Hill, M.D. Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, FL http://home.mpinet.net/dahmd

The above is intended for general medical education, and is not for specific medical advice. I apologize, but I am unable to answer personal e-mail due to time constraints.

Next message: jeannie: "cryopreservation of embryos"
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In reply to: M: "Adenocarcinoma in situ"

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